Provider Demographics
| NPI: | 1225164700 |
|---|---|
| Name: | SHINER IND SCHOOL DIST |
| Entity type: | Organization |
| Organization Name: | SHINER IND SCHOOL DIST |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATIVE SECRETARY |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHERRI |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | VINCIK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 361-594-3121 |
| Mailing Address - Street 1: | PO BOX 804 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SHINER |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77984-0804 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 361-594-3121 |
| Mailing Address - Fax: | 361-594-4295 |
| Practice Address - Street 1: | 216 WEST 13TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | SHINER |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77984 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 361-594-3121 |
| Practice Address - Fax: | 361-594-4295 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-02-26 |
| Last Update Date: | 2008-07-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 101YS0200X | Behavioral Health & Social Service Providers | Counselor | School | Group - Multi-Specialty |
| No | 163WS0200X | Nursing Service Providers | Registered Nurse | School | Group - Multi-Specialty |
| No | 164X00000X | Nursing Service Providers | Licensed Vocational Nurse | Group - Multi-Specialty | |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |